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Case 184: Hot Gallbladder

This lady has had three days of severe upper abdominal pain. This pain began as a retrosternal pain following food. The pain was felt through to the back. It then settled in the right upper quadrant. Initial ultrasound scan was normal, HIDA scan then showed an obstructed cystic duct. By then the clinical picture of acute cholecystitis was clear and the patient was brought to theatre. An open cholecystectomy was required.

This is an intraoperative photo taken by photographer Gavin Lombard

Image provided by: Mr Boon Hong, General Surgeon, The Northern Hospital, Melbourne, Australia.

1. What complication has occurred?

2. What is the required treatment?